chronic kidney disease
Taught that Emphysema is a chronic, irreversible lung disease caused by recurrent inflammation resulting in the destruction of lung tissue.
Instructed on some potential factors of decreased tolerance in response to increased physical activity, such as: diseases (e.g., congestive heart failure, myocardial infarction, chronic obstructive pulmonary disease, infections and endocrine disorders).
Caregiver A.L.F's staff was instructed in Hypothyroidism disease; on how symptoms differ among individuals, depending on the severity of the case: sensitivity to cold temperature, dry skin, constipation, forgetfulness, chronic fatigue, decreased heart rate, depression, hair loss, weight gain, muscle stiffness and cramping, lack of facial expression, enlarged tongue.
SN instructed patient about rheumatoid arthritis and how it is a chronicdisease that causes pain, stiffness, swelling, and loss of function in the joints. It occurs when your immune system mistakenly starts attacking healthy tissue.
Medication profile reviewed and reconciled. SN reviewed and instructed patient on medication regimen of spirivia. Instructed patient that medication is used for maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD). Spiriva HandiHaler is indicated to reduce exacerbations in COPD patients. Instructed patient that, with administration of Spiriva HandiHaler, a Spiriva capsule is placed into the center chamber of the HandiHaler device. The capsule is pierced by pressing and releasing the green piercing button on the side of the HandiHaler device. The tiotropium formulation is dispersed into the air stream when its inhaled through the mouthpiece. Instructed to inhale once or twice to get al medication inhaled. Instructed patient that dry mouth or constipation may occur. Instructed to notify MD/SN right away if any serious side effects, including: vision changes (such as blurred vision, seeing halos), eye pain, difficult/painful urination, fast heartbeat.
SN instructed patient / caregiver that the combination preparation fluticasone/salmeterol (Advair diskus) is a formulation containing fluticasone propionate and salmeterol xinafoate, used in the management of asthma and chronic obstructive pulmonary disease. Commun side effect / adverse reaction may include: Body aches or pain, choking, congestion, dryness of the throat, high-pitched noise when breathing, hoarseness, runny nose, sneezing, trouble with swallowing, voice changes. Less common side effect / adverse reaction: Cough-producing mucus, flu-like symptoms, irritation or inflammation of the eye, muscle pain, pain or tenderness around the eyes and cheekbones, sleep disorders, stuffy nose, white patches in the mouth or throat or on the tongue.
SN instructed patient on ways to avoid acute exacerbations of chronic obstructive pulmonary disease ( COPD ) by recognizing early warning signs and then taking action to stop them in their tracks. The best way to do this is to work with your health care provider on an action plan so you know what to do to treat an exacerbation before it becomes serious. SN instructed on early warning signs of an acute exacerbation: Wheezing or more wheezing than what’s normal for you, coughing more than usual, shortness of breath that is worse than usual, an increase in the amount of mucus, change in the color of your mucus to yellow, green, tan, or bloody, shallow or rapid breathing, more than what’s normal for you, fever, confusion or excessive sleepiness, and swelling in your feet or ankles. Patient nods head in understanding. Sn will continue to monitor.
Chronic obstructive pulmonary disease (COPD) is a condition in which the bronchioles (breathing tubes) leading to the lung develop thickened membranes that secrete large amounts of sputum and pus or in which the tine alveoli (air sacs) within the lungs become inelastic and sometimes break open and trap air. COPD causes breathing to become more difficult because air is taken in and cannot be expelled completely.
Skilled nurse educated patient and caregiver on HTN disease process. HTN also known as high blood pressure is a chronic condition where the blood pressure in the arteries is elevated. It is important to seek medical attention for uncontrolled HTN and develop a plan of care with your PCP. It is recommended to check your blood pressure and pulse daily before taking blood pressure medications and logging in a journal. If your blood pressure is elevated wait 1-2 hours and recheck. Contact your doctor or home health agency if problems with blood pressure continue . Patient and caregiver verbalized understanding.
SN also instructed pt on the disease process of hypothyroidism. The thyroid gland controls a lot of our body functions, when it is unable to produce the amount of thyroid hormone your body needs, you will need to take this hormone orally. Take this medication everyday as ordered by your MD. Report to SN or MD if you have sensitivity to cold temperature, dry skin, constipation, forgetfulness, chronic fatigue, decreased heart rate, depression, hair loss, weight gain, muscle stiffness and cramping, as these can be signs your medication is not the correct dose.